Oral Erythromycin Improves the Quality of Endoscopy in Upper Gastrointestinal Bleeding Patients

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Meta-analysis: erythromycin before endoscopy for acute upper gastrointestinal bleeding.

BACKGROUND Studies evaluating the effect of erythromycin on patients with acute upper gastrointestinal bleeding (UGIB) had been reported, but the results were inconclusive. AIMS To compare erythromycin with control in patients with acute UGIB by performing a meta-analysis. METHODS Electronic databases including PubMed, EMBASE and the Cochrane Library, Science Citation Index, were searched t...

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Emergency endoscopy in upper gastrointestinal bleeding.

Emergency endoscopy was done in 306 patients with acute upper gastrointestinal bleeding. Most of the patients were in the age group 20—39 years. Male to female ratio was 2.3:1. The main causes of bleeding were peptic ulcer (40.1 8%), oesophageal varices (32.4%) and superficial mucosal lesions (13.9%). Causes of bleeding remained obscure in 7.2% cases; dual lesions were seen in 2.94%. Complete f...

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Erythromycin prior to endoscopy in acute upper gastrointestinal bleeding: a meta-analysis.

OBJECTIVE Upper gastrointestinal bleeding (UGIB) is a medical emergency requiring urgent endoscopy and diagnosis. However, adequate visualization is a necessity. Studies have been performed evaluating the efficacy of erythromycin infusion prior to endoscopy to improve visibility and therapeutic potential of esophagogastroduodenoscopy (EGD) with varied results. Therefore, a meta-analysis was per...

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Endoscopy for Nonvariceal Upper Gastrointestinal Bleeding

Endoscopy for acute nonvariceal upper gastrointestinal bleeding plays an important role in primary diagnosis and management, particularly with respect to identification of high-risk stigmata lesions and to providing endoscopic hemostasis to reduce the risk of rebleeding and mortality. Early endoscopy, defined as endoscopy within the first 24 hours after presentation, improves patient outcome an...

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Erythromycin infusion prior to endoscopy for acute nonvariceal upper gastrointestinal bleeding: a pilot randomized controlled trial

BACKGROUND/AIMS The aim of this study was to compare the effects of erythromycin infusion and gastric lavage in order to improve the quality of visualization during emergency upper endoscopy. METHODS We performed a prospective randomized pilot study. Patients presented with hematemesis or melena within 12 hours and were randomly assigned to the erythromycin group (intravenous infusion of eryt...

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ژورنال

عنوان ژورنال: Cureus

سال: 2020

ISSN: 2168-8184

DOI: 10.7759/cureus.10204